NPIMap

Organization Active NPI

Hernandez & Wooldridge, LLC

Doing business as Kyle Family & Injury Chiropractic

  • Chiropractor
  • Kyle, TX
National Provider Identifier
1821501149
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13136 Issued in TX
Legal business name
HERNANDEZ & WOOLDRIDGE, LLC
Doing business as
Kyle Family & Injury Chiropractic
Practice address
102 S Meyer St
Kyle, TX 78640-5686
Phone
(512) 268-2273
Fax
(800) 807-8174
NPI assigned
Nov 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jacqueline Hernandez, DC
Title
Owner/Doctor of Chiropractic
Phone
(512) 268-2273

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 13136 TX Primary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 13312 TX

Addresses

Primary practice location

102 S Meyer St
Kyle, TX 78640-5686

Mailing address

102 S Meyer St
Kyle, TX 78640-5686
Phone (512) 268-2273

Other identifiers 2

IdentifierTypeStateIssuer
1063922243OtherTXNPI
1609237213OtherTXNPI

Other names 1

  • Kyle Family & Injury Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210604000768 TX Part B Supplier - Clinic/Group Practice 5294134631 Receives reassigned benefits from 2 practitioners
Practice locations: Kyle, TX

National Provider Directory

National Provider Directory

Locations

102 S Meyer St
Kyle, TX 78640
Phone (512) 268-2273

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1821501149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S MEYER ST",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405686",
            "telephone_number": "512-268-2273",
            "fax_number": "800-807-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MEYER ST",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405686",
            "telephone_number": "512-268-2273",
            "fax_number": "800-807-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDEZ & WOOLDRIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "512-268-2273",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13136",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13312",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063922243",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609237213",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kyle Family & Injury Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.